Provider Demographics
NPI:1487768651
Name:CRAWFORD, RANESSA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:RANESSA
Middle Name:LYNN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8450 CAMBRIDGE ST APT 2225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3925
Mailing Address - Country:US
Mailing Address - Phone:713-796-1124
Mailing Address - Fax:281-540-7393
Practice Address - Street 1:18951 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4217
Practice Address - Country:US
Practice Address - Phone:281-540-6453
Practice Address - Fax:281-540-7393
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1061207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AQ546OtherBCBS
TXI31823Medicare UPIN
TX8D8451Medicare ID - Type Unspecified